Commentary on ‘Surgical treatment of primary uterine prolapse: a comparison of vaginal native tissue surgical techniques’

Excerpt

In this large national database study, Husby et al. compare various native tissue surgical approaches for the treatment of primary uterine prolapse [1]. Combining registry data with clinical details from a national urogynaecology database, they include vaginal hysterectomy (VH), Manchester-Fothergill procedure (MP) and sacrospinous hysteropexy (SH). With increasing scrutiny of mesh-augmented prolapse procedures, and a desire from women to explore uterine-preserving surgery, large studies of native tissue procedures are needed. A recent systematic review compared hysterectomy with uterine preservation, and found advantages to uterine-preserving techniques [2]. Therefore, evidence such as that found in this informative study, provide important data to support decision making for patients and clinicians when considering surgery for primary uterovaginal prolapse. …